KORI L CARROLL

CHAMPAIGN, IL
NPI1598752628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085001261)
Enumeration Date2005-10-04
Last Update Date2019-04-23
Business Address
KORI L CARROLL PA
3105 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-902-7527
Mailing Address
KORI L CARROLL PA
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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